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efta-efta01480427DOJ Data Set 10CorrespondenceEFTA Document EFTA01480427
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DOJ Data Set 10
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efta-efta01480427
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MAR-06-2007(TUE) 16:33
P.013/013
ACCOUNT ti
C. CLIeNT i EIENEFICIAL OWNER I AUTHORIZFD PARTIP‘
ThIS information mult be filled out for EACH Individual. Please uffe a separate page for 0ach Individual.
Fur US Individual.. Nu documentation toquired al itecount opotting. A copy ol a drivers konas or Diller valid. govemment-isSuod parre ID may he
tura
fer vandtalon PUrPOSei opal rank,» of me ~unt.
For Non-us IndIvIduals. and lor an Mon41.9„, Bonerlicial Ownen of PIV AcCounts: Please ansar lo lins forn a copy ol a valid, gOvornmentKisued
Deltif0 ID liVideflplig nationality lor PACh Individual. The documernationmum 00 Pre
0091 lo kocoorn °Pensle-
For Non-U.S. PIV Accounts: Please ottoch 1s and Signaturo Page al organdaten document ond pages showing ownership ol uw »city.
For Hode* Funds, runda and Non-Prolles sen Page 6 for rmaructiord
For Trading Authority Power of Attomoy i investment Advlsor only <median% I. la. 10, 18 and 19 are regulred.
For Principal I Dimt« f Dekor only omsuten. 1. la. la le and 19 are rdquirod.
1. Nome of Individuel (Fint Midt», Last Nome) (or Entlty Nano)
ZI1L( :? f feal
pi t:
Ett25"rn+IN gr‘
la. Type of Ctiontatneficial OwnorlAultionzod Party:
1-`4ZIJUltkr.74
2. Has an Account for Is Indivklualtmern cstablisInd sin»0(01103
1
7 Ø
• No
II Vas, list Account Numbors:
3. Date of elab: , L..) n
5. SSWrait ID Nome»Mott
(
ok» for US Cilitans)
5a. If
ax
s not sva lebln.
Pantsett NoJAIlim Reg. NO.Mtlwr Val Eforitersued ID No.
5b. Type ot ID, H not Panpott er Agen Reg. Card:
4. la the Individual a US Clthen?
DNo
II no. Country el attconship:
6. Home Addross:
(ip i co ir-a lassalLGI4e. 6 -3
S- Trt-a 6...as • 1/4)51/45 l 6 C3933-•
7. Homo Malling Addrimis:
Sloiliet{—
8. Horn* Phon*
9.
10. Principal Buslnoss Adams:
11.17
nipsl Bealnews)
12. Em
Em
t Status:
mPieYee OSell-EmP40Yee DunemPtaYed
Employees
Nam.: r.......
,..Q.(77Ric _ (atti.,
e_
13. Madtal Status:
ir
&ICLIMitmeci
13a. if marif01:1. Spinne', Occupation:
Member Finn?
&re Otto t
i
Oceupedon: RnAL~
Cartajr)
(.44.44449-
4-
14. Estl
Nat Wolth: (US $t ØftiM
15. Annual hitom.: (US SI
la So
es of Wca»:
Empbyrnent Dkihwitance
vostmord
LJOM».
17. Seeren of Aun on Dopoelt
nE ml:ga yrnent DInhericanc0
ei.
.;_........,.,....-•-""
DOtNtr, Øgt:
18. Is
Individual turrenn./ or fortnewly Ill Foran Politi»! Figur*, an »media romfly Member Or • Known Clou Awsoctate7
NO.
Ye
Please contma Compdanco Officer and Anlialonay Loundedng Draup n Vie Legal Dept. betaro conductec fl øing ~y.
19 la a
Citizensnip. or Address associated with this imcount homa country included In the High Risk List?
No.
C YIRL Please conlad C.omptranco Odar and And-Money aundannti_Group in bo Legal Dept. »lom conducling_trading aceinly.
NCVI Mel Ener, v052704
Pag') 1 of
Confidential Treatment Requested by
JPMorgan Chase
CONFIDENTIAL
JPM-SDNY-00002586
SDNY_GM_00271784
EFTA01480427
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